OrganizationActive
Form and Function PLLC
NPI 1255263554 · Chiropractor · Chicago, IL
Form and Function PLLC is a Chiropractor organization in Chicago, IL (NPI 1255263554).
Provider details
- NPI number
- 1255263554
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Shane Mctague, Owner(815) 217-4964
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1512 N Fremont St Ste 104
Chicago, IL 60642-2567
Phone: (815) 217-4964
Street-level locationGet directions
Mailing address
1512 N Fremont St Ste 104
Chicago, IL 60642-2567
Registry dates
- Enumerated
- 2026-06-01
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Form and Function PLLC's NPI number?
- Form and Function PLLC's National Provider Identifier (NPI) is 1255263554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Form and Function PLLC?
- Form and Function PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Form and Function PLLC located?
- Form and Function PLLC's practice location on file with NPPES is 1512 N Fremont St Ste 104, Chicago, IL 60642-2567.
- What is Form and Function PLLC's phone number?
- The practice phone number listed in the NPPES registry for Form and Function PLLC is (815) 217-4964.
- Who is the authorized official for Form and Function PLLC?
- The authorized official listed on Form and Function PLLC's NPPES record is Shane Mctague, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Form and Function PLLC's NPI active?
- Yes — Form and Function PLLC's NPI (1255263554) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.